Tora 3 Chirwere cheshuga uye Alzheimer's Disease: Izvo Zvaunofanira Kuziva

Zvemukati

• Kubatana pakati pechirwere cheshuga neAlzheimer's
• Zvinokonzera uye njodzi zviitiko zverudzi rwechitatu chirwere cheshuga
• Zviratidzo zverudzi rwechitatu chirwere cheshuga
• Kuongororwa kwerudzi rwechitatu chirwere cheshuga
• Kurapa kwerudzi rwechitatu chirwere cheshuga
• Maonero erudzi rwechitatu chirwere cheshuga
• Kudzivirira rudzi rwechitatu chirwere cheshuga

Chii chinonzi type 3 diabetes?

Chirwere cheshuga mellitus (inonziwo DM kana chirwere cheshuga muchidimbu) zvinoreva mamiriro ehutano uko muviri wako uchinetseka kushandura shuga kuita simba. Kazhinji, tinofunga nezvemhando nhatu dzechirwere cheshuga:

• Type 1 chirwere cheshuga (T1DM) chirwere chisingaperi umo muviri wako endocrine chikamu chepancreas haiburitse yakakwana hormone insulin, uye huwandu hweshuga yeropa rako (glucose) inova yakanyanya kukwirira.
• Rudzi rwechipiri chirwere cheshuga (T2DM) chirwere chisingaperi umo muviri wako unotanga kuramba insulini, uye shuga yako yeropa inova yakanyanya kukwirira semhedzisiro.
• Gestational chirwere cheshuga (GDM) ndeye DM inoitika panguva yepamuviri, uye iro shuga reropa rakanyanya kukwirira panguva ino.

Dzimwe ongororo dzakaitwa dzakaratidza kuti chirwere cheAlzheimer chinofanira kuverengerwa semhando yechirwere cheshuga, inonzi type 3 diabetes.

Ichi "type 3 chirwere cheshuga" izwi rakarondedzerwa kutsanangura fungidziro yekuti chirwere cheAlzheimer, chinova chisakiso chikuru chekushomeka, chinokonzerwa nerudzi rwe insulin kushora uye insulin-senge kukura chinhu kusagadzikana kunoitika zvakanyanya muuropi .

Ichi chiitiko zvakare chakashandiswa nevamwe kutsanangura vanhu vane mhando 2 chirwere cheshuga uye vanoonekwawo kuti vane chirwere cheAlzheimer's dementia. Kupatsanurwa kworudzi rwechitatu chirwere cheshuga kunokakavara zvakanyanya, uye hakugamuchire zvakanyanya nharaunda yekurapa sekuongororwa kwechipatara.

Iyo yepamusoro "mhando 3 chirwere cheshuga" chirwere chekurapa hachifanirwe kuvhiringidzwa nerudzi 3c chirwere cheshuga mellitus (inonziwo T3cDM, pancreatogenic chirwere cheshuga, uye mhando 3c chirwere cheshuga).

Iyo pancreas ine ese endocrine uye exocrine gland, uye iwo ane avo akasiyana mabasa. Insulini ndeimwe yemahormone ayo beta-islet maseru muIslets yeLangerhans, inova endocrine pancreas tishu, inogadzira uye inoburitsa.

Kana exocrine pancreas yozoita chirwere yozokonzeresa kutuka kwechipiri kune endocrine pancreas iyo inozopedzisira yaendesa kuDM, iyi ndiyo T3cDM. Exocrine pancreatic hosha dzinogona kutungamira kuT3cDM dzinosanganisira hutachiona hwakadai se:

• chisingaperi pancreatitis
• cystic fibrosis
• kenza yepancreatic exocrine

Ramba uchiverenga kuti uwane zvatinoziva uye zvatisingazive nezve "rudzi rwechitatu chirwere cheshuga." Uye ndapota ramba uchifunga kuti izvi hazvifanirwe kuvhiringidzwa nerudzi 3c chirwere cheshuga.

Kubatana pakati pechirwere cheshuga neAlzheimer's

Sekureva kweMayo Clinic, panotove nehukama hwakagadzwa pakati peAlzheimer's uye Type 2 chirwere cheshuga. Izvo zvakataurwa kuti Alzheimer's inogona kukonzerwa ne insulin kuramba muuropi hwako. Vamwe vanhu vanoti Alzheimer's ingori "chirwere cheshuga muuropi hwako."

Uku kuda kune imwe sainzi kumashure kwayo, asi zvishoma zvekurerutsa.

Nekufamba kwenguva, chirwere cheshuga chisina kurapwa chinogona kukonzera kukuvara mumidziyo yako yeropa, kusanganisira nemidziyo iri muuropi hwako. Vanhu vazhinji vane rudzi rwechipiri chirwere cheshuga havazive kuti vane mamiriro acho, izvo zvinogona kunonoka kuongororwa uye matanho akakodzera ekurapa.

Naizvozvo, avo vane rudzi rwechipiri chirwere cheshuga, kunyanya chirwere cheshuga chisingawanikwe, vane njodzi yakakura yerudzi urwu rwekukuvara.

Chirwere cheshuga chinogona zvakare kukonzera kusaenzana kwemakemikari muuropi hwako, izvo zvinogona kukonzeresa Alzheimer's. Zvakare, huwandu hwakawanda hweshuga yeropa hunotungamira mukuzvimba, izvo zvinogona kukuvadza maseru ehuropi.

Nezvikonzero izvi, chirwere cheshuga chinoonekwa sechinhu chakakonzera chiitiko chinonzi vascular dementia. Vascular dementia chiratidzo chekumira-chega nezviratidzo zvacho, kana chinogona kunge chiri chiratidzo cheyambiro yezvichaitika kuti zvienderane nechirwere cheAlzheimer.

Sayenzi yeichi chiitiko haina chokwadi. Parizvino, izvo zvakagadzwa ndezvekuti pane zviitiko zvechirwere cheAlzheimer uye mamwe marudzi ehumwe pfungwa ayo asina chero chakaratidza chinongedzo kune insulin kuramba.

Zvinokonzera uye njodzi zviitiko zverudzi rwechitatu chirwere cheshuga

Zvinoenderana neongororo ya2016, vanhu vane chirwere cheshuga chechipiri vanogona kusvika pamakumi matanhatu muzana mukana wekukura kwechirwere cheAlzheimer kana imwe mhando yehungwaru, senge vascular dementia.

Izvi zvaisanganisira vanhu vanopfuura zviuru zana vanorarama nehusope. Yakaratidza kuti vakadzi vane rudzi rwechipiri chirwere cheshuga vane mukana wakakura wekukura kwevascular dementia kupfuura varume.

Njodzi zvinhu zverudzi rwechipiri chirwere cheshuga dzinosanganisira:

• nhoroondo yemhuri yechirwere cheshuga
• kukwirira kweropa (hypertension)
• kuva nekufutisa kana kufutisa
• mamwe mamiriro ehutano husingaperi, senge kushushikana uye polycystic ovarian syndrome (PCOS)

Zviratidzo zverudzi rwechitatu chirwere cheshuga

Zviratidzo zverudzi rwechitatu chirwere cheshuga zvinotsanangurwa sezviratidzo zvekushushikana, senge izvo zvinoonekwa mukutanga kwechirwere cheAlzheimer.

Zvinoenderana neAlzheimer's Association, izvi zviratidzo zvinosanganisira:

• ndangariro kurasikirwa kunokanganisa hupenyu hwezuva nezuva uye kudyidzana munharaunda
• kuoma kupedzisa mabasa akajairika
• kuisa zvisirizvo zvinhu kazhinji
• kwakadzikira kugona kwekutonga kunoenderana neruzivo
• kuchinja kamwe kamwe muhunhu kana maitiro

Kuongororwa kwerudzi rwechitatu chirwere cheshuga

Iko hakuna chaiko bvunzo yerudzi rwe3 chirwere cheshuga. Chirwere cheAlzheimer chinoonekwa kubva pa:

• kuongororwa kwetsinga
• nhoroondo yezvokurapa
• neurophysiological kuyedza

Anopa hutano hwako anobvunza mibvunzo yakati wandei nezve yako nhoroondo yemhuri uye zviratidzo zvako.

Kufungidzira zvidzidzo, zvakadai seMRI uye CT scans yemusoro, zvinogona kupa mupi wako wekuchengetedza hutano mufananidzo wekuti uropi hwako huri kushanda sei. Kuongorora kweCerebrospinal fluid kunogona zvakare kutsvaga zviratidzo zveAlzheimer's.

Kana iwe uine zviratidzo zverudzi rwechipiri chirwere cheshuga neAlzheimer uye usati waonekwa uine imwe chete, wako mupi wezvehutano anogona kuraira kutsanya kweshuga yeropa bvunzo uye glycated hemoglobin bvunzo.

Kana iwe uine rudzi rwechipiri chirwere cheshuga, zvakakosha kuti utange kurapwa kwacho nekukasira. Kurapa mhando 2 chirwere cheshuga kunogona kudzora kukuvara kwemuviri wako, kusanganisira huropi hwako, uye kunonoka kufambira mberi kweAlzheimer's kana kuora mwoyo.

Kurapa kwerudzi rwechitatu chirwere cheshuga

Pane nzira dzakasiyana dzekurapa kune vanhu vane:

• pre-mhando 2 chirwere cheshuga
• mhando 2 chirwere cheshuga
• Alzheimer's

Maitiro ehupenyu, senge kuita shanduko kuchikafu chako uye kusanganisira kurovedza muviri mune yako yezuva nezuva maitiro, inogona kuve chikamu chikuru chekurapa kwako.

Heano mamwe matipi ekurapa:

Kana iwe uri kurarama nekurema, edza kurasikirwa ne5 kusvika ku7 muzana yemuviri wako, maererano neMayo Clinic. Izvi zvinogona kubatsira kumisa kukuvara kwemitezo kunokonzerwa neshuga yepamusoro yeropa uye kunogona kudzivirira kufambira mberi kwe pre-DM2 kusvika DM2.

Kudya kwakaderera mumafuta uye kwakapfuma muzvibereko nemiriwo kunogona kubatsira kuvandudza zviratidzo.

Kana iwe uchisvuta, kurega utsi kunokurudzirwa nekuti kunogona zvakare kubatsira kubata mamiriro ako.

Kana iwe uine zvese zviri zviviri zvechipiri chirwere cheshuga neAlzheimer's, kurapwa kwerudzi rwako rwechipiri chirwere cheshuga kwakakosha kubatsira kunonoka kufambira mberi kwekuora mwoyo.

Metformin uye insulin mishonga inorwisa-chirwere cheshuga inoderedza njodzi yekukuvara kwehuropi hwechirwere cheshuga, maererano neongororo ya2014.

Mishonga yekunyorera inowanikwa yekurapa zviratidzo zvekuziva kweAlzheimer's dementia, asi pane kusava nechokwadi nezvekuti zvine chekuonekwa chinokanganisa zviratidzo zvechirwere cheAlzheimer.

Acetylcholinesterase inhibitors senge donepezil (Aricept), galantamine (Razadyne), kana rivastigmine (Exelon) inogona kupihwa gadziriso nzira iyo maseru emuviri wako anotaurirana.

Memantine (Namenda), anopikisa weNMDA-receptor, anogona zvakare kubatsira kudzikisa zviratidzo uye kunonoka kufambira mberi kwechirwere cheAlzheimer.

Zvimwe zviratidzo zveAlzheimer's uye mamwe madhenda emhando, senge kusanduka kwemood uye kushushikana, zvinogona kurapwa ne psychotropic zvinodhaka. Antidepressants uye anti-kufunganya mishonga chikamu chekurapa mune zvimwe zviitiko.

Vamwe vanhu vangangoda muyero wakareruka weantipsychotic kurapa gare gare mukati mekuita kwekutambudzika.

Maonero erudzi rwechitatu chirwere cheshuga

Nyora 3 chirwere cheshuga inzira yekutsanangura Alzheimer's iyo inokonzerwa ne insulin kuramba mukati meuropi. Nekudaro, maonero ako anozosiyana zvinoenderana nezvinhu zvinoverengeka, zvinosanganisira kurapwa kwechirwere cheshuga uye kuomarara kwekuora mwoyo kwako.

Kana iwe uchikwanisa kurapa chirwere cheshuga nechikafu, kurovedza muviri, uye mishonga, vatsvagiri vanokurudzira kuongororwa kwechirudzi 3 chirwere cheshuga vanoratidza kuti iwe unokwanisa kudzora kufambira mberi kweAlzheimer's kana vascular dementia, asi humbowo hauna chokwadi.

Maonero ako anozosiyanawo zvichienderana nekukurumidza kuti zviratidzo zvako zvakawanikwa sei uye nemupi wako wekuchengeta hutano anofunga nezvenyaya yako chaiyo. Kurumidza kurapwa kunotanga, zvingangoita kuti maonero ako ave nani.

Sekureva kweMayo Clinic, avhareji yeutarisiro hwehupenyu hwemunhu ane Alzheimer ane makore matatu kusvika gumi nerimwe kubva panguva yaanoonekwa. Asi vamwe vanhu vane Alzheimer's vanogona kurarama seanosvika makore makumi maviri mushure mekuongororwa.

Kudzivirira rudzi rwechitatu chirwere cheshuga

Kana iwe uchitova nechirwere cheshuga chechipiri, pane nzira dzaungagone kuzvibata uye kudzikisa njodzi yako yekukudziridza chirwere cheshuga cheshuga.

Hedzino dzimwe dzenzira dzakaratidzirwa dzekutarisira mhando 2 chirwere cheshuga uye kuderedza kukuvara kwemitezo:

• Edza kurovedza muviri kana pavhiki kwemaminitsi makumi matatu pazuva.
• Edza kudya chikafu chine hutano chakaderera mumafuta akaguta, akapfuma mumapuroteni, uye ane fiber yakawanda.
• Ngwarira kuongorora shuga yako yeropa zvinoenderana nezvakataurwa nemupi wako wezvehutano.
• Tora mishonga yakatarwa panguva uye nguva dzose.
• Chengetedza cholesterol yako mazinga.
• Chengetedza huremu hwako hune hutano.